Skip to main content

UBA2 activates Wnt/β-catenin signaling pathway during protection of R28 retinal precursor cells from hypoxia by extracellular vesicles derived from placental mesenchymal stem cells



Stem cell transplantation has been proposed as an alternative treatment for intractable optic nerve disorders characterized by irrecoverable loss of cells. Mesenchymal stem cells, with varying tissue regeneration and recovery capabilities, are being considered for potential cell therapies. To overcome the limitations of cell therapy, we isolated exosomes from human placenta-derived mesenchymal stem cells (hPMSCs) and investigated their therapeutic effects in R28 cells (retinal precursor cells) exposed to CoCl2.


After 9 h of exposure to CoCl2, the hypoxic damaged R28 cells were divided into the non-treatment group (CoCl2 + R28 cells) and treatment group (CoCl2 + R28 cells treated with exosome). Immunoblot analysis was performed for Pcna, Hif-1α, Vegf, Vimentin, Thy-1, Gap43, Ermn, Neuroflament, Wnt3a, β-catenin, phospo-GSK3β, Lef-1, UBA2, Skp1, βTrcp, and ubiquitin. The proteomes of each group were analyzed by liquid chromatography/tandem mass (LC-MS/MS) spectrometry. Differentially expressed proteins (DEPs) were detected by label-free quantification, and the interactions of the proteins were examined through signal transduction pathway and gene ontology analysis.


We observed that exosome could significantly recover proliferation damaged by CoCl2 treatment. In addition, the treatment group presented the decreased expression of Hif-1α protein (P < 0.05) and increased expression of proliferation marker, Pcna, and nerve regeneration-related factors such as Vimentin, Thy-1, and Neuroflament (P < 0.05) compared with the non-treatment group. In total, 200 DEPs were identified in the non-treatment group and treatment group (fold change ≥ 2, p < 0.05). Catenin and ubiquitin systems (UBA2, UBE2E3, UBE2I) were found in both the DEP lists of downregulated proteins from the non-treatment group and upregulated proteins from the treatment group. The mRNA expressions of ubiquitin systems were significantly decreased under hypoxic conditions. Moreover, UBA2 and Wnt/β-catenin protein were associated with the rescue of the hypoxic damaged R28 cells. Using a siRNA system, we could find it out that hPMSC exosomes could not repair altered expressions of target proteins by CoCl2 in lacking UBA2 R28 cells.


This study reported that hypoxic damaged expression of regeneration markers in R28 cells was significantly recovered by hPMSC exosomes. We could also demonstrate that UBA2 played a key role in activating the Wnt/β-catenin signaling pathway during protection of hypoxic damaged R28 cells, induced by hPMSC exosomes.


Optic neuropathies are the most common cause of irreversible vision loss [1]. There is still no effective treatment for optic neuropathies; the improvement of new treatment methods is required. In previous studies, neural regeneration has been induced by injecting placenta-derived mesenchymal stem cells (MSCs) [2]. MSCs are multipotent stromal cells that exist in mesenchymal tissues; their neuroprotective effect in optic nerve (ON) injury models has been reported [3].

MSCs have some exclusive features compared to other stem cell types. They are simple to isolate and expand and exhibit a high differentiation capacity, low immunological response, and low risk of tumor formation [4, 5]. However, direct injection of MSCs is highly prone to several issues, including the risk of thrombosis and tumor-related mutations [6]. Concerns have been raised about the safety of MSCs for clinical use, with studies reporting the possible threat of in vitro MSCs to develop tumors, ectopic tissue formation, toxicity caused by cells, and immune-related rejection on transplantation [7, 8]. Mice injected with these MSCs developed tumors in multiple organs, since chromosome instability and elevated telomerase activity were proposed as contributing factors for developing malignancy in mouse MSCs [9]. Multifocal organizing thrombi were noted in the pulmonary arteries 1 week after the administration of a single intravenous injection of mesenchymal stem cells [10]. On the other hand, MSC-secreted exosomes are smaller and easier to produce, and they appear no risk of tumor formation [11]. Therefore, to lower this risk, we paid attention to the nanosized extracellular vesicles (EV), exosomes, which are smaller.

Exosomes are small lipid-bound cellularly secreted vesicles that comprise ectosomes secreted directly from plasma membranes and apoptotic bodies released from dying cells [12]. They are a type of membrane vesicle, with a size less than 150 nm, containing proteins, mRNA, and miRNA, and are derived from internal vesicles of multivesicular bodies such as tumor cells, T cells, and mast cells [13]. Exosomes mediate some of the tissue-healing properties of MSCs, are helpful in tissue regeneration, and present strong therapeutic potential [14] for diseases such as myocardial infarction, spinal cord injury, Alzheimer’s disease, and diabetes [15, 16]. They are not self-replicating and, owing to their small size, can be sterilized by filtration, which makes them promising for therapeutics [17, 18].

Previous studies of the effect of MSC and MSC-derived EVs provided conflicting results [19,20,21]. A report demonstrated that exosomes from MSCs have a similar role in promoting tumor growth to the MSCs themselves [19]. MSC-derived exosomes exhibited different protein and RNA profiles compared with their donor cells, and these vesicles could be internalized by breast cancer cells. The results demonstrated that MSC-derived exosomes significantly downregulated the expression of vascular endothelial growth factor (VEGF) in tumor cells, which lead to inhibition of angiogenesis [20]. However, no studies comparing the effects of MSC and MSC exosome in the ON precursor cell damage were reported. The factors and mechanism to rescue damaged ON precursor cells would be different in each type of exosome. Therefore, we isolated exosomes from placenta-derived MSCs and conducted a study to verify their neuro-regeneration effect.


Human placenta-derived mesenchymal stem cell (hPMSC) preparation and isolation of exosomes from hPMSCs

Human placenta stem cells were obtained from CHA General Hospital, Seoul, Republic of Korea. The sample collection and use for research purposes were approved by the Institutional Review Board of the hospital. Preparation and culturing were conducted as previously reported [22]. Human PMSCs were cultured in Minimum Essential Medium (MEM)-alpha GlutaMAX (Thermo Fisher Scientific, Waltham, MA, USA) supplemented with 10% FBS (Thermo Fisher Scientific), 1% penicillin/streptomycin (Thermo Fisher Scientific), 25 ng/mL human fibroblast growth factor 4 (Peprotech Inc., Rocky Hill, NJ, USA), and 1 μg/mL heparin (Sigma-Aldrich, St. Louis, MO, USA). When 80% confluence was reached, the culture medium was replaced with MEM-alpha GlutaMAX containing 10% exosome-free FBS (Thermo Fisher Scientific). The conditioned hPMSCs were harvested from the medium, and residual cells and debris were discarded by centrifuging at 2000×g for 10 min at 4 °C. After centrifugation, the supernatant was filtered using a 0.2-μm pore filter and transferred to a centrifuge tube (Pall Corporation, Port Washington, NY, USA). The supernatant was centrifuged at 4000 rpm for 45 min at 4 °C. The collected supernatant again underwent ultracentrifugation at 27,500 rpm for 85 min at 4 °C. Thereafter, the supernatant was removed, and the precipitate was washed with phosphate-buffered saline (PBS) and then ultracentrifuged at 27,500 rpm for 85 min at 4 °C. Finally, the exosome precipitates were dissolved in 100 μL PBS and quantified by the BCA method. The exosomes were stored at − 80 °C.

Cell culture and treatment

R28 retinal precursor cells were provided from Dr. Seigel [23]. Immortalized R28 retinal precursor cells were maintained in low-glucose Dulbecco’s modified Eagle’s medium (DMEM; Sigma-Aldrich) with 10% FBS (Thermo Fisher Scientific), 1× minimal essential medium nonessential amino acids (Thermo Fisher Scientific), 100 μg/mL gentamicin (Sigma-Aldrich), and 1% penicillin/streptomycin (Thermo Fisher Scientific). A hypoxic condition was induced by exposing the cells to CoCl2 (Sigma-Aldrich). R28 cells (2 × 105) were treated with CoCl2 (200 μM) for 9 h. Then, they were treated with hPMSC exosomes (12 μg/mL). After 24 h, the cells were harvested and prepared for analysis.

Small interfering RNA

The target sequence of siRNA (Bioneer Corporation, Daejeon, Republic of Korea) was as follows: siRNA rat UBA2, 5′- GCA CGA AAC CAU GUG AAU AGG A. siRNA negative control (Bioneer) was used as the negative control (scramble). R28 cells were transfected using Lipofectamine 3000 (Thermo Fisher Scientific) according to the manufacturer’s instructions.

Cell Counting Kit-8 (CCK-8) assay

R28 cells were plated in 96-well plates at the density of 1 × 104 cells/well. After CoCl2 (200 μM) treatment for 9 h, the cells were incubated with hPMSC exosomes (12 μg/mL). After 24 h, R28 cells were incubated with 10 μL CCK-8 (Dojindo Laboratories, Munich, Germany) for 1 h. The absorbance at 450 nm was detected by a microplate reader (Molecular Devices, San Jose, CA, USA).

Reverse transcription-polymerase chain reaction (RT-PCR) analysis

Total RNA was isolated from hOFs using TRIzol reagent (Thermo Fisher Scientific). RT-PCR was performed with nPfu-Forte PCR polymerase (Enzynomics, Daejeon, Republic of Korea). We quantified the gene expression using ImageJ software (National Institutes of Health, Bethesda, MD, USA), and RT-PCR reactions were performed using a CFX-96 machine (Bio-Rad Laboratories, Hercules, CA, USA). The nucleotide sequences of all the primers used were as follows: Rat UBA2 FP: 5′- ACG ATT CGG AAC ACA CCT TC, RP: 5′- GCT TCA GCC TCT GTT GGT TC; Rat UBE2E3 FP: 5′- TCG AGT GCT GTG TTC AAA GG, RP: 5′- CTG GTG CTA GGG CTC TCA TC; Rat UBE2I FP: 5′- TCT CCC TGC CTG TTA GCT GT, RP: 5′- TGG GCT GTA GGG TAA GGT TG.

Immunoblot analysis

R28 cells were lysed in radioimmunoprecipitation assay (RIPA) buffer. Equal amounts of total protein were resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to membranes. The membranes were immunoblotted with anti-Pcna (Agilent Technologies, Santa Clara, CA, USA), Hif-1α (Abcam, Cambridge, UK), Vegf, Thy-1, Gap43 (Santa Cruz Biotechnology, Santa Cruz, CA, USA), Ermn (Abcam), Neuroflament (Cell Signaling Technology, Danvers, MA, USA), Vimentin, Wnt3a, β-catenin (GeneTex, Irvine, CA, USA), phospo-GSK3β (Cell Signaling Technology), Lef-1 (GeneTex), UBA2 (Abcam), Skp1, βTrcp (Cell Signaling Technology), and ubiquitin (Abcam). After washing, the membranes were incubated at room temperature for 2 h with horseradish peroxidase-conjugated anti-rabbit/mouse/goat IgG secondary antibodies at a 1:10,000 dilution (GeneTex). Immunoreactive bands were visualized with enhanced chemiluminescence solution (Bio-Rad Laboratories) and analyzed using ImageQuant™ LAS 4000 (GE Healthcare, Chicago, IL, USA).


Proteomic analyses were performed for 4 types of samples: R28 cells with PBS, R28 cells with exosomes, R28 cells treated with CoCl2, and R28 cells treated with CoCl2 and exosomes. Thus, we investigated how exosomes worked in both undamaged and damaged cells.


Tris (2-carboxyethyl) phosphine (TCEP) was supplied by Thermo Fisher Scientific. Formic acid (FA) and iodoacetamide (IAA) were purchased from Sigma-Aldrich. Trypsin was obtained from Promega (Madison, WI, USA). High-performance liquid chromatography (HPLC)-grade water and acetonitrile were purchased from JT Baker (Phillipsburg, NJ, USA).

Sample preparation

R28 cells (2 × 105) were treated with CoCl2 (200 μM) for 9 h. Then, they were treated with hPMSC exosomes (12 μg/mL). After 24 h, the cells were harvested. Each cell pellet then was mixed with 1 mL of lysis solution (8 M Urea, 0.1 M Tris-HCl buffer, pH 8.5) and 40 μL of protease inhibitor cocktail (× 25 stock solution) in glass tubes. Cell lysis was performed using a Covaris S2 Focused-Ultrasonicator (Covaris, Woburn, MA, USA) for 8 min. The protein concentrations in the samples were determined using Pierce BCA Protein Assay Kits (Thermo Fisher Scientific). Filter-aided sample preparation (FASP) was performed using Ultracel® YM-30 centrifugal filters (Merck Millipore, Germany), as previously reported [24]. In brief, protein (100 μg) was reduced with TCEP (37 °C, 30 min), alkylated with IAA (25 °C, 30 min, in the dark), and digested with trypsin (37 °C, 18 h, enzyme to protein ratio = 1:50). After digestion, the peptide mixtures were collected. FA was added to inactivate trypsin. The samples were then desalted using C18 Micro spin columns (Harvard Apparatus, MA, USA), vacuum-dried (1800 rpm, 3 h, ScanSpeed 40 centrifugal evaporator), and reconstituted in 0.1% FA/water (solvent A) prior to analysis.

Liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis

An LC-MS/MS setup consisting of a Dionex Ultimate 3000 HPLC system coupled with a Q Exactive™ Hybrid Quadrupole-Orbitrap MS (Thermo Fisher Scientific) system was used for sample analysis. Samples were loaded into an Acclaim™ PepMap™ 100 C18 nano-trap column (75 μm × 2 cm, 3 μm particles, 100 Å pores, Thermo Fisher Scientific) using solvent A at a flow rate of 2.5 μL/min for 5 min. An Acclaim™ PepMap™ C18 100A RSLC nano-column (75 μm × 50 cm, 2 μm particles, 100 Å pores, Thermo Fisher Scientific) was used to separate the peptide mixtures. The solvent consisted of solvent A and solvent B (0.1% FA/80% ACN). The flow rate was fixed at 300 nL/min. A 185-min gradient setup for solvent B was used as follows: 4% (14 min), 4–20% (61 min), 20–50% (81 min), 50–96% (1 min), 96% (10 min), 96–4% B (1 min), and 4% (17 min). The nano-electrospray ionization source was operated in positive mode with a spray voltage of 2.0 kV. The capillary temperature was 320 °C. The isolation width was ± 2 m/z, and the scan range was 400–2000 m/z. The resolutions in full-MS scans and MS/MS scans at 200 m/z were 70,000 and 17,500, respectively. MS was conducted using a data-dependent acquisition method. The top ten precursor ions with the highest intensity were isolated in the quadrupole and fragmented by higher-energy collisional dissociation with 27% normalized collisional energy. Dynamic exclusion was set at 20 s to minimize repeated analyses of the same abundant precursor ions.

Data processing and bioinformatics

Database search for proteins and data processing were conducted as previously reported [25]. In brief, raw MS/MS data files were searched against a SwissProt human protein database ( using a built-in Andromeda search engine in MaxQuant version ( for label-free quantification (LFQ). The following parameters were used for the search: missed cleavages with trypsin, ≤ 2; variable modifications, methionine oxidation (+ 15.995 Da), and carbamylation of protein in N-term (+ 43.0006 Da); static carbamidomethylation of cysteine (+ 57.0215 Da); first search peptide tolerance, 20 ppm; and main search peptide tolerance, 4.5 ppm. A false discovery rate (FDR) cutoff of 1% was used. LFQ data from MaxQuant were imported into Perseus software platform version ( Protein LFQ intensities were transformed using log2(x), and samples with missing values for given proteins were assigned random values using the imputation principle (downshift 1.8, width 0.3, total matrix mode). After Z-score normalization, Student’s T test was used to compare the protein abundances of the groups. Differentially expressed proteins (DEPs) were filtered with a cutoff p value ≤ 0.05 and log2FC ≥ 1 (fold-change). Heatmap was generated. Gene ontology (GO) analysis was performed using Panther ( Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways and protein-protein interactions were analyzed using the String database (

Statistical analyses

All the results are presented as mean ± standard error of the mean (SEM). Data analyses were conducted using GraphPad Prism (GraphPad, La Jolla, CA, USA). Statistically significant differences were identified using the t test or nonparametric statistical test, followed by the Mann-Whitney U test at a significance level of 5%.


Characterization and recovery effects of hPMSC exosomes

The isolated exosome protein expressed the exosomal markers CD9, CD63, and CD81 (Fig. 1a). To examine the changes in the target proteins of R28 cells under hypoxic conditions, we exposed the cells to CoCl2. After 9 h, the hypoxia-damaged R28 cells were treated with hPMSC exosomes. We performed CCK-8 assay to determine the effects of the exosomes on CoCl2-induced cell proliferation. The cell proliferations were significantly recovered upon the administration of the exosomes (Fig. 1b). The exosomes also restored the target protein expression disturbed by CoCl2. Hif-1α expression, which increased after CoCl2 exposure, was significantly decreased by the exosome treatment (Fig. 1c). To support the proliferation assay result, we investigated the changes of proliferation-related gene expression. The CoCl2-induced downregultaion of proliferating cell nuclear antigen (PCNA) was significantly increased by exosome treatment (Fig. 1c). In contrast to that of Hif-1α, the expression of regeneration-related proteins such as Vegf, Vimentin, Thy-1, Gap43, Ermn, and Neuroflament decreased under hypoxic conditions. The expression of Vimentin, Thy-1, and Neuroflament significantly increased after the exosome treatment (Fig. 1c).

Fig. 1
figure 1

Characterization and recovery effects of hPMSC-derived exosomes. a Isolated exosome protein expressing exosomal markers CD9, CD63, and CD81. R28 cells were treated with CoCl2 (200 μM). After incubation for 9 h, the cells were treated with exosomes. b CCK-8 assays performed after 24 h. Data are presented as mean ± SEM (***p < 0.0001; *p < 0.05). c Western blot analyses of target protein expression levels, using R28 lysates with CoCl2. The quantified values of target protein expression are presented (bottom panel). Statistical significance was determined using an unpaired t test (*p < 0.05; **p < 0.005; ***p < 0.0005; ****p < 0.0001). All experiments were performed in triplicate

Hierarchical clustering and gene ontology

To understand the integrated biological effects of exosome treatment during hypoxia, we performed proteomic analysis using R28 cells. The hierarchical clustering of the differentially expressed proteins was determined using four conditions (Control, Exosome, CoCl2, CoCl2 + exosome) (Fig. 2a). The Venn diagram in Fig. 2b shows the number of expressed proteins associated with injury and recovery processes. The control, CoCl2, and CoCl2 + exosome groups expressed 1887, 1704, and 1744 proteins, respectively, indicating an altered expression after exposure to CoCl2 (Fig. 2b). The number of differentially expressed proteins (DEPs) between each group indicated significant changes in the proteome under exposure to CoCl2 and CoCl2 + exosome (p < 0.05) (Fig. 2c).

Fig. 2
figure 2

Cluster analysis of differentially expressed proteins in R28 cells. MaxQuant version ( for label-free quantification (LFQ) was used to identify differentially expressed proteins in treated groups (exosome, CoCl2, and CoCl2 + exosome) and PBS-treated control cells. a Heatmap of differentially expressed proteins (p ≤ 0.05 and log2FC ≥ 1) in lysates of four groups (control, exosome, CoCl2, and CoCl2 + exosome) analyzed by hierarchical clustering. High expression is shown in red; low expression is shown in green. b Venn diagram showing the number of proteins identified in proteomic analysis of experimental groups of R28 cells. c Graph presenting the number of significantly up- and downregulated proteins in experimental groups (p < 0.05)

Gene ontology classification of reliably quantified proteins from exosomes in hypoxia-damaged retinal precursor cells

In total, 614 DEPs were identified in R28 cells before and after exposure to CoCl2 (fold change ≥ 2, P < 0.05). Panther Classification System (version 15.0) was used for GO analysis of the DEPs. Using a false discovery rate ≤ 0.05, GO functional clusters were enriched and categorized into three databases: biological processes, molecular functions, and cellular components of the two groups. Figure 3 shows that the DEPs were classified as top 5 GO terms based on –log10 (p value). The upregulated proteins of CoCl2-treated R28 cells were involved in protein folding, cytosolic processes, and RNA binding, as shown in Fig. 3a. The downregulated proteins were related to nuclear-transcribed mRNA catabolic processes, cytosolic ribosomes, protein-containing complexes, RNA binding, and heterocyclic and organic cyclic compound binding (Fig. 3b). In total, 200 DEPs were identified in CoCl2 + R28 cells and CoCl2 + R28 cells treated with exosomes (fold change ≥ 2, p < 0.05). The upregulated proteins of CoCl2 + R28 cells treated with exosomes were involved in organelle organization, protein-containing complexes, intracellular components, purine ribonucleotides, and ribonucleotide binding, as shown in Fig. 3c. The downregulated proteins were related to gene expression, ribonucleoprotein complexes, and RNA binding (Fig. 3d).

Fig. 3
figure 3

Gene ontology (GO) distribution of differentially expressed proteins in R28 cells damaged by CoCl2 and treated with hPMSC-derived exosomes. a GO annotations for biological processes, molecular functions, and cellular components of upregulated proteins in R28 cells damaged by CoCl2, compared with those of controls. b GO annotations for biological processes, molecular functions, and cellular components of downregulated proteins in R28 cells damaged by CoCl2, compared with those of controls. c GO annotations for biological processes, molecular functions, and cellular components of upregulated proteins in CoCl2 + R28 cells treated with exosomes, compared with those of R28 cells damaged by CoCl2. d GO annotations for biological processes, molecular functions, and cellular components of downregulated proteins in CoCl2 + R28 cells treated with exosomes, compared with those of R28 cells damaged by CoCl2 (false discovery rate ≤ 0.05)

Network analysis of recovery process mediators

We performed a detailed examination of the interactions of the proteins revealed by GO analysis. Proteins unique to both R28 cells damaged by CoCl2 and CoCl2 + R28 cells treated with exosomes were mainly involved in protein-containing complexes and RNA binding for molecular functions. Catenin and ubiquitin systems (UBA2, UBE2E3, UBE2I) were found in both the DEP lists of downregulated proteins from R28 cells damaged by CoCl2 and upregulated proteins from CoCl2 + R28 cells treated with exosomes. The interactions between them and other identified proteins of the ubiquitin-mediated proteolysis pathway are shown in Fig. 4a, b.

Fig. 4
figure 4

Network analysis of DEPs relating to ubiquitin-mediated proteolysis pathway in R28 cells. Protein-protein interactions in groups: a CoCl2 vs control and b CoCl2 + exosome vs CoCl2

Effects of hPMSC exosomes in hypoxia-damaged in vitro model

Based on proteomic data, we could verify significantly changed target proteins in both CoCl2 + R28 cells and CoCl2 + R28 cells treated with exosomes. To determine the relationship between CoCl2 and altered target protein expression, we determined the changes in exosome-induced expression during hypoxia, i.e., UBA2, UBE2E3, and UBE2I mRNA expression. These target genes from proteomic data were downregulated upon CoCl2 exposure. However, damaged UBA2 expression significantly recovered after exosome treatment (Fig. 5a). Furthermore, the expression of some proteins in the ubiquitin proteasome process, such as UBA2, Skp1, βTrcp, and ubiquitin, decreased in hypoxia-damaged R28 cells. The expression of the weakened proteins seemed to increase after exosome treatment, but it was not significant (Fig. 5b). CoCl2 treatment reduced Wnt3a and β-catenin protein expression. After exosome treatment, the expression increased. However, only the increase in β-catenin expression was significant (Fig. 5c).

Fig. 5
figure 5

Effect of exosome treatment on target proteins altered by CoCl2. R28 cells were treated with CoCl2 (200 μM). After incubation for 9 h, the cells were treated with exosomes. a RT-PCR of target genes and Western blot analyses of b ubiquitin-proteasome system and c Wnt/β-catenin-related protein expression levels, performed using R28 lysates altered by CoCl2. Statistical significance was determined using an unpaired t test (*p < 0.05; **p < 0.005). All experiments were performed in triplicate

Role of UBA2 during recovery induced by hPMSC exosomes

Based on the proteomics and in vitro experiment results, we assumed that UBA2 was a mediator during the hypoxia recovery response induced by exosomes. Therefore, using an siRNA system, we investigated the effects of exosomes on UBA2-lacking R28 cells damaged by CoCl2. As shown in Fig. 6, in UBA2 knockdown R28 cells, the expression of β-catenin, Wnt3a, Neuroflament, and Thy-1 significantly reduced compared to that in scramble cells. Exosome treatment of cells damaged by CoCl2 restored the β-catenin, Neuroflament, and Thy-1 expression. However, these exosome recovery functions for the neuro-regeneration markers Neuroflament and Thy-1 did not work in UBA2 knockdown cells. This implied that the exosomes had lost their recovery capability with respect to target proteins in hypoxia-damaged R28 cells. Taken together, these results suggest that UBA2 is a downstream mediator of the recovery pathway induced by exosomes (Fig. 7).

Fig. 6
figure 6

UBA2 mediation during recovery induced by exosomes. Scramble and siRNA (2 nM) targeting UBA2 were transfected into R28 cells. After incubation, UBA2 knockdown cells were exposed to CoCl2 (200 μM). After incubation for 9 h, the cells were treated with exosomes. Then, Western blot analyses were performed. The relative expression of target proteins was normalized with that in normal R28 cells. The results are expressed as mean ± standard error of mean (SEM). Statistical significance was determined using a nonparametric statistical test, followed by the Mann-Whitney U test (#p < 0.05, ##p < 0.005 vs. control with scramble; *p < 0.05, **p < 0.005, ***p < 0.0001). All experiments were performed in triplicate

Fig. 7
figure 7

Proposed pathway of recovery of R28 cells, induced by hPMSC-derived exosomes, after hypoxic damage


The optic nerve (ON) comprises axons of retinal ganglion cells (RGCs), and this disorder is characterized by RGCs death [26]. ON injury is one of the leading causes of blindness due to RGC degeneration [27]. Various somatic tissue-derived MSCs have proved significant neuroprotective and axogenic effects on RGCs [27, 28]. There have been many reports using R28 cells in terms of RGC injury model to investigate the rescue function of MSCs from ON damage. However there is a limitation of the RGCs impairment model in replacement of RGCs with R28 retinal precursor cells. But R28 cells are immortalized retinal precursor cells that could differentiate into both neuronal and glial cell properties [29]. In a murine oxygen-induced retinopathy model, intravitreal injection of MSC-derived EVs reduced the severity of retinal ischemia [18]. Along with in vivo study, in vitro experiment was performed so that pretreatment with EVs could defend R28 cells against oxygen deficiency situations [30]. So far, R28 cells provide an important experimental system for the various studies of retinal ganglion cells, such as retinal cell differentiation, neuroprotection, and neuronal function [23, 31].

Exosome treatment offers significant potential advantages over cell therapy. Unlike cells, exosomes do not replicate, change phenotype, or actively migrate from the application site, and can hence be manipulated with more accuracy [32]. Moreover, they can be more precisely dosed, because they are non-dividing. Exosomes are gradually being recognized as potential biomarkers for neurodegenerative diseases. For example, spinal cord injury can lead to differential regulation of exosomal miRNAs that control calcium signaling, synaptic function, axon guidance, and axon degeneration [33, 34]. Exosome biology in the visual system is not well-characterized; recent studies used exosomes mostly to detect and monitor ON trauma and disease [32]. Exosomes derived from photoreceptors are highly expressed in patients after rhegmatogenous retinal detachment [35], and exosomes containing specific subsets of miRNAs can serve as biomarkers for glaucoma detection and analysis [36].

Furthermore, it has been reported that bone marrow MSC (BMSC)-derived exosomes exert neuroprotective and axogenic effects on RGCs and that the therapeutic effects of these exosomes diminish after knockdown of Argonaute-2, a key miRNA effector molecule [37]. This implies that the mechanism may be related to miRNA in exosomes. It was demonstrated intravitreal injections of exosomes from MSCs prevent axonal loss and degeneration after mechanical injury and involve in the regeneration of injured retinal ganglion cells [37]. Treatment of primary adult rat cortical neurons with BMSC-derived exosomes promoted neurite outgrowth [38]. The promising neurite outgrowth seen when retinal cultures were treated with BMSC-derived exosomes was corroborated by their efficacy to promote regeneration of GAP-43 axons after optic nerve crush [37]. In this study, they successfully knockdown Ago2 and demonstrated that BMSC exosomes had a considerably muted effect in promoting RGC neuroprotection, axon regeneration/survival, and RGC functional preservation [37].

Intravenous transplantation of MSC-derived exosomes improves neurogenesis, neurite remodeling, and angiogenesis after ischemic brain injury [39, 40]. Therapy based on the delivery of MSC-derived exosomes considerably increased the number of neuroblasts in ischemic regions of the central nervous system [39]. Mesenchymal stromal cell exosomes contain miRNAs, messenger RNAs, and proteins, which can be transferred to recipient cells and thereby modify their characteristics [41]. As miRNAs have an essential role in gene regulation, the miRNAs encapsulated into MSC exosomes have a primary effect on ischemic injury. In addition, it is known that the injection of exosomes extracted from placenta-derived MSCs in hypoxic conditions promotes angiogenesis [13]. MSC exosomes are augmented in some nodes associated with NF-κB signaling, which has been reported to be a significant mediator of angiogenesis [42].

However, other mechanisms seem to be at work in exosomes. Recent studies have demonstrated that MSC-derived exosomes can reduce neuro-inflammation, promote neurogenesis, and improve functional rehabilitation in animal models [43]. A study showed that delivery of exosomes derived from MSCs into a patient with steroid-refractory graft-versus-host disease suppressed pro-inflammatory cytokine secretion and reduced the symptoms associated with the disease [44]. The viruses were thought to exit cells through lysis. In recent times, it has become apparent that they use autophagy pathways for viral release [45]. The cell-to-cell spread of cytoplasmic constituents is thought to require cell lysis. Components of the autophagy pathway have been shown to play a role in the secretion of cytoplasmic signaling proteins [45]. Changes in the autophagy level affect exosomal release. Upon stimulating autophagy, multivesicular bodies fuse more with autophagic vacuoles, resulting in inhibition of exosomal release [46, 47]. The autophagy may control exosome composition and progression in age-related neurodegenerative synucleinopathies [47].

Based on our findings, exosomes seem to exert a unique recovery effect on hypoxia-damaged R28 cells via the UBA2-activated Wnt signaling pathway. To investigate the exosome mechanism during the recovery process in CoCl2-damaged R28 cells, we gathered clues on the functions of exosomes, using proteomics, and tried to prove the pathway through functional studies. The identified protein markers validated the accuracy of the proteomic analysis [48]. This analysis confirmed that exosomes derived from hPMSCs had a number of characterized proteins involved in protein-containing complexes and RNA binding for molecular functions. Through proteomic analysis, factors related to ubiquitin and Wnt signaling in R28 cells exposed to hypoxic conditions were derived as candidate targets, and their expression was confirmed through Western blot experiments. Additional proteomic measurements can help characterize the overall proteome, and relative protein quantification can aid in identifying the candidate marker proteins.

The ubiquitin-proteasome system (UPS) consists of ubiquitin-activating enzyme E1, ubiquitin-binding enzyme E2, and ubiquitin protein ligase E3 [49]. The Skp1-cullin 1-F-box (SCF) E3 ligase complexes, the largest family of E3 ligases, comprise cullin, Skp1, and F-box proteins. The SCF E3 ubiquitin ligases play an important role in regulating critical cellular processes that promote the degradation of many cellular proteins, including signal transducers, cell cycle regulators, and transcription factors [50]. Changes in ubiquitin-related factors upon CoCl2 exposure confirmed that the expression of UBA2, UBE2I, UBE2E3, and ubiquitin decreased in cells treated with CoCl2 and that the expression recovered after exosome treatment.

UBA2 is known to promote cell proliferation. Inhibition of UBA2 expression reduces the proliferation of colorectal cancer and gastric cancer cells regulating cyclinB1, B cell lymphoma-2, and E3 ubiquitin-protein ligase MDM2 [51, 52]. Moreover, UBA2 has functions such as molecular adhesion, movement, and migration [53]. Factors related to Wnt signaling, one of the processes in proteasome degradation, were also present in the DEP list obtained in this proteomics study. Therefore, the expression of UBA2 in R28 cells verified the role of the exosomes. The ubiquitination process was inhibited due to CoCl2 injury, and Wnt signaling was deactivated by abnormal ubiquitination. However, PMSC-derived exosomes restored the UBA2 function and activated the Wnt signaling pathway. Cheng et al. reported that UBA2 was needed for cell migration and invasion through Wnt/β-catenin signaling in tumor cell growth. This study suggested UBA2 could regulate the nuclear localization of β-catenin. Silencing of UBA2 caused inhibition of Wnt/β-catenin downstream molecules [53]. Our study also demonstrated that UBA2 was a key mediator protein in the exosome-induced recovery process of regeneration marker expression altered by exposure to hypoxia conditions.

These results were valuable in identifying DEPs and new markers in the hPMSC exosome proteome. However, the relatively small sample size used in this study limits the validity of the outcomes. Additional samples are required for high-throughput analysis to obtain more accurate proteomic data. Full coverage of peptides could not be achieved for complex biologic samples such as exosomes, since the dynamic range was only suitable to detect the most abundant ionized peptides in MS. Other data-independent acquisition methods may help expand the overall detection ability for proteomes and validate the candidate marker proteins identified by relative protein quantification [48]. The establishment of a proteome map and quantitative analysis platform may provide biologists the tools to investigate unknown biological functions [48].

The ubiquitination system is involved in diverse cellular pathways that entail the post-translational modification of proteins. Protein ubiquitination can be reversed by de-ubiquitinating enzymes (DUBs). DUBs are key players in various cellular processes, and several of them are linked to malignancies and neurological diseases [54]. Although the understanding on functions of DUBs at the structural and cellular levels is limited, the possible regulation of DUB activity in various signaling pathways should be considered as a mechanism of biological therapeutics for neurological diseases.

We could demonstrate the neuroprotective effect afforded by hPMSC-derived exosomes. This study was performed only in vitro to evaluate the potential therapeutic effect of exosomes on hypoxia-damaged retinal precursor cells. The neuroprotective effect of exosomes is to be investigated in an ON injury animal model to validate the rescue function in RGCs. Exosomes offer a cell-free alternative to hPMSC therapy, and they can be easily separated, purified, and stored. Exosome treatments lack the risks or difficulties (immune rejection and unwanted proliferation/differentiation) associated with transplanting live cells into vitreous bodies or veins. The ideal timeframe for such treatments is currently unknown; the efficacy of a single or weekly/monthly injections of exosomes should be studied. This study revealed the significant, albeit limited, ON regeneration effect of exosomes extracted from placenta-derived MSCs. Other sources of exosomes can be studied to compare the nerve regeneration effects on hypoxic injury.


This is the first report on the therapeutic benefit that hPMSC-derived exosomes offer to protect retinal precursor cells after hypoxic injury. We discovered that UBA2 played a key role in activating the Wnt/β-catenin signaling pathway during the recovery process of damaged R28 cells, induced by hPMSC-derived exosomes.

Availability of data and materials

All data and materials are available upon request.



Bone marrow-derived stem cells


Human placenta-derived mesenchymal stem cells


Optic nerve


Retinal ganglion cells


  1. Cen LP, Ng TK, Liang JJ, Zhuang X, Yao X, Yam GH, et al. Human periodontal ligament-derived stem cells promote retinal ganglion cell survival and axon regeneration after optic nerve injury. Stem cells (Dayton, Ohio). 2018;36(6):844–55.

    Article  CAS  Google Scholar 

  2. Alcayaga-Miranda F, Varas-Godoy M, Khoury M. Harnessing the angiogenic potential of stem cell-derived exosomes for vascular regeneration. Stem Cells Int. 2016;2016:3409169.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Mead B, Logan A, Berry M, Leadbeater W, Scheven BA. Intravitreally transplanted dental pulp stem cells promote neuroprotection and axon regeneration of retinal ganglion cells after optic nerve injury. Invest Ophthalmol Vis Sci. 2013;54(12):7544–56.

    Article  CAS  PubMed  Google Scholar 

  4. Chamberlain G, Fox J, Ashton B, Middleton J. Concise review: mesenchymal stem cells: their phenotype, differentiation capacity, immunological features, and potential for homing. Stem cells (Dayton, Ohio). 2007;25(11):2739–49.

    Article  CAS  Google Scholar 

  5. Zhang J, Huang X, Wang H, Liu X, Zhang T, Wang Y, et al. The challenges and promises of allogeneic mesenchymal stem cells for use as a cell-based therapy. Stem Cell Res Ther. 2015;6:234.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Avior Y, Eggan K, Benvenisty N. Cancer-related mutations identified in primed and naive human pluripotent stem cells. Cell Stem Cell. 2019;25(4):456–61.

    Article  CAS  PubMed  Google Scholar 

  7. Jeong JO, Han JW, Kim JM, Cho HJ, Park C, Lee N, et al. Malignant tumor formation after transplantation of short-term cultured bone marrow mesenchymal stem cells in experimental myocardial infarction and diabetic neuropathy. Circ Res. 2011;108(11):1340–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Urbanelli L, Buratta S, Sagini K, Ferrara G, Lanni M, Emiliani C. Exosome-based strategies for diagnosis and therapy. Recent Pat CNS Drug Discov. 2015;10(1):10–27.

    Article  CAS  PubMed  Google Scholar 

  9. Houghton J, Stoicov C, Nomura S, Rogers AB, Carlson J, Li H, et al. Gastric cancer originating from bone marrow-derived cells. Science. 2004;306(5701):1568–71.

    Article  CAS  PubMed  Google Scholar 

  10. Ramot Y, Steiner M, Morad V, Leibovitch S, Amouyal N, Cesta MF, et al. Pulmonary thrombosis in the mouse following intravenous administration of quantum dot-labeled mesenchymal cells. Nanotoxicology. 2010;4(1):98–105.

    Article  CAS  PubMed  Google Scholar 

  11. Lou G, Chen Z, Zheng M, Liu Y. Mesenchymal stem cell-derived exosomes as a new therapeutic strategy for liver diseases. Exp Mol Med. 2017;49(6):e346.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  12. Gao L, Xu W, Li T, Chen J, Shao A, Yan F, et al. Stem cell therapy: a promising therapeutic method for intracerebral hemorrhage. Cell Transplant. 2018;27(12):1809–24.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Anderson JD, Johansson HJ, Graham CS, Vesterlund M, Pham MT, Bramlett CS, et al. Comprehensive proteomic analysis of mesenchymal stem cell exosomes reveals modulation of angiogenesis via nuclear factor-kappaB signaling. Stem cells (Dayton, Ohio). 2016;34(3):601–13.

    Article  CAS  Google Scholar 

  14. Reiner AT, Witwer KW, van Balkom BWM, de Beer J, Brodie C, Corteling RL, et al. Concise review: developing best-practice models for the therapeutic use of extracellular vesicles. Stem Cells Transl Med. 2017;6(8):1730–9.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Keshtkar S, Azarpira N, Ghahremani MH. Mesenchymal stem cell-derived extracellular vesicles: novel frontiers in regenerative medicine. Stem Cell Res Ther. 2018;9(1):63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Song CG, Zhang YZ, Wu HN, Cao XL, Guo CJ, Li YQ, et al. Stem cells: a promising candidate to treat neurological disorders. Neural Regen Res. 2018;13(7):1294–304.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Lai RC, Arslan F, Lee MM, Sze NS, Choo A, Chen TS, et al. Exosome secreted by MSC reduces myocardial ischemia/reperfusion injury. Stem Cell Res. 2010;4(3):214–22.

    Article  CAS  PubMed  Google Scholar 

  18. Moisseiev E, Anderson JD, Oltjen S, Goswami M, Zawadzki RJ, Nolta JA, et al. Protective effect of intravitreal administration of exosomes derived from mesenchymal stem cells on retinal ischemia. Curr Eye Res. 2017;42(10):1358–67.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Zhu W, Huang L, Li Y, Zhang X, Gu J, Yan Y, et al. Exosomes derived from human bone marrow mesenchymal stem cells promote tumor growth in vivo. Cancer Lett. 2012;315(1):28–37.

    Article  CAS  PubMed  Google Scholar 

  20. Lee JK, Park SR, Jung BK, Jeon YK, Lee YS, Kim MK, et al. Exosomes derived from mesenchymal stem cells suppress angiogenesis by down-regulating VEGF expression in breast cancer cells. PLoS One. 2013;8(12):e84256.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. Katakowski M, Buller B, Zheng X, Lu Y, Rogers T, Osobamiro O, et al. Exosomes from marrow stromal cells expressing miR-146b inhibit glioma growth. Cancer Lett. 2013;335(1):201–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Park M, Kim HC, Kim O, Lew H. Human placenta mesenchymal stem cells promote axon survival following optic nerve compression through activation of NF-kappaB pathway. J Tissue Eng Regen Med. 2018;12(3):e1441–e49.

    CAS  PubMed  Google Scholar 

  23. Seigel GM. Review: R28 retinal precursor cells: the first 20 years. Mol Vis. 2014;20:301–6.

    PubMed  PubMed Central  Google Scholar 

  24. Joo M, Park J-M, Duong V-A, Kwon D, Jeon J, Han M, et al. An automated high-throughput sample preparation method using double-filtration for serum metabolite LC-MS analysis. Anal Methods. 2019;11:4060–5.

    Article  CAS  Google Scholar 

  25. Nam O, Park JM, Lee H, Jin E. De novo transcriptome profile of coccolithophorid alga Emiliania huxleyi CCMP371 at different calcium concentrations with proteome analysis. PLoS One. 2019;14(8):e0221938.

  26. Kumaran AM, Sundar G, Chye LT. Traumatic optic neuropathy: a review. Craniomaxillofac Trauma Reconstr. 2015;8(1):31–41.

    Article  PubMed  Google Scholar 

  27. Seyedrazizadeh SZ, Poosti S, Nazari A, Alikhani M, Shekari F, Pakdel F, et al. Extracellular vesicles derived from human ES-MSCs protect retinal ganglion cells and preserve retinal function in a rodent model of optic nerve injury. Stem Cell Res Ther. 2020;11(1):203.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Mathew B, Ravindran S, Liu X, Torres L, Chennakesavalu M, Huang CC, et al. Mesenchymal stem cell-derived extracellular vesicles and retinal ischemia-reperfusion. Biomaterials. 2019;197:146–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Taylor-Walker G, Lynn SA, Keeling E, Munday R, Johnston DA, Page A, et al. The Alzheimer's-related amyloid beta peptide is internalised by R28 neuroretinal cells and disrupts the microtubule associated protein 2 (MAP-2). Exp Eye Res. 2016;153:110–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Yu B, Li XR, Zhang XM. Mesenchymal stem cell-derived extracellular vesicles as a new therapeutic strategy for ocular diseases. World J Stem Cells. 2020;12(3):178–87.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Seigel GM, Sun W, Wang J, Hershberger DH, Campbell LM, Salvi RJ. Neuronal gene expression and function in the growth-stimulated R28 retinal precursor cell line. Curr Eye Res. 2004;28(4):257–69.

    Article  CAS  PubMed  Google Scholar 

  32. van der Merwe Y, Steketee MB. Extracellular vesicles: biomarkers, therapeutics, and vehicles in the visual system. Curr Ophthalmol Rep. 2017;5(4):276–82.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Chandran R, Sharma A, Bhomia M, Balakathiresan NS, Knollmann-Ritschel BE, Maheshwari RK. Differential expression of microRNAs in the brains of mice subjected to increasing grade of mild traumatic brain injury. Brain Inj. 2017;31(1):106–19.

    Article  PubMed  Google Scholar 

  34. Liu Y, Han N, Li Q, Li Z. Bioinformatics analysis of microRNA time-course expression in brown rat (Rattus norvegicus): spinal cord injury self-repair. Spine (Phila Pa 1976). 2016;41(2):97–103.

    Article  Google Scholar 

  35. Tumahai P, Saas P, Ricouard F, Biichle S, Puyraveau M, Laheurte C, et al. Vitreous microparticle shedding in retinal detachment: a prospective comparative study. Invest Ophthalmol Vis Sci. 2016;57(1):40–6.

    Article  CAS  PubMed  Google Scholar 

  36. Tanaka Y, Tsuda S, Kunikata H, Sato J, Kokubun T, Yasuda M, et al. Profiles of extracellular miRNAs in the aqueous humor of glaucoma patients assessed with a microarray system. Sci Rep. 2014;4:5089.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Mead B, Tomarev S. Bone marrow-derived mesenchymal stem cells-derived exosomes promote survival of retinal ganglion cells through miRNA-dependent mechanisms. Stem Cells Transl Med. 2017;6(4):1273–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Zhang Y, Chopp M, Liu XS, Katakowski M, Wang X, Tian X, et al. Exosomes derived from mesenchymal stromal cells promote axonal growth of cortical neurons. Mol Neurobiol. 2017;54(4):2659–73.

    Article  CAS  PubMed  Google Scholar 

  39. Xin H, Li Y, Cui Y, Yang JJ, Zhang ZG, Chopp M. Systemic administration of exosomes released from mesenchymal stromal cells promote functional recovery and neurovascular plasticity after stroke in rats. J Cereb Blood Flow Metab. 2013;33(11):1711–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Record M, Subra C, Silvente-Poirot S, Poirot M. Exosomes as intercellular signalosomes and pharmacological effectors. Biochem Pharmacol. 2011;81(10):1171–82.

    Article  CAS  PubMed  Google Scholar 

  41. Xin H, Li Y, Liu Z, Wang X, Shang X, Cui Y, et al. MiR-133b promotes neural plasticity and functional recovery after treatment of stroke with multipotent mesenchymal stromal cells in rats via transfer of exosome-enriched extracellular particles. Stem cells (Dayton, Ohio). 2013;31(12):2737–46.

    Article  CAS  Google Scholar 

  42. Hou Y, Li F, Karin M, Ostrowski MC. Analysis of the IKKbeta/NF-kappaB signaling pathway during embryonic angiogenesis. Dev Dyn. 2008;237(10):2926–35.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Kim DK, Nishida H, An SY, Shetty AK, Bartosh TJ, Prockop DJ. Chromatographically isolated CD63+CD81+ extracellular vesicles from mesenchymal stromal cells rescue cognitive impairments after TBI. Proc Natl Acad Sci U S A. 2016;113(1):170–5.

    Article  CAS  PubMed  Google Scholar 

  44. Kordelas L, Rebmann V, Ludwig AK, Radtke S, Ruesing J, Doeppner TR, et al. MSC-derived exosomes: a novel tool to treat therapy-refractory graft-versus-host disease. Leukemia. 2014;28(4):970–3.

    Article  CAS  PubMed  Google Scholar 

  45. Bird SW, Maynard ND, Covert MW, Kirkegaard K. Nonlytic viral spread enhanced by autophagy components. Proc Natl Acad Sci U S A. 2014;111(36):13081–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Fader CM, Colombo MI. Multivesicular bodies and autophagy in erythrocyte maturation. Autophagy. 2006;2(2):122–5.

    Article  PubMed  Google Scholar 

  47. Abdulrahman BA, Abdelaziz DH, Schatzl HM. Autophagy regulates exosomal release of prions in neuronal cells. J Biol Chem. 2018;293(23):8956–68.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Han NY, Hong JY, Park JM, Shin C, Lee S, Lee H, et al. Label-free quantitative proteomic analysis of human periodontal ligament stem cells by high-resolution mass spectrometry. J Periodontal Res. 2019;54(1):53–62.

    Article  CAS  PubMed  Google Scholar 

  49. Wang Z, Liu P, Inuzuka H, Wei W. Roles of F-box proteins in cancer. Nat Rev Cancer. 2014;14(4):233–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Xie J, Jin Y, Wang G. The role of SCF ubiquitin-ligase complex at the beginning of life. Reprod Biol Endocrinol. 2019;17(1):101.

    Article  PubMed  PubMed Central  Google Scholar 

  51. He P, Sun X, Cheng HJ, Zou YB, Wang Q, Zhou CL, et al. UBA2 promotes proliferation of colorectal cancer. Mol Med Rep. 2018;18(6):5552–62.

    CAS  PubMed  PubMed Central  Google Scholar 

  52. Li J, Sun X, He P, Liu WQ, Zou YB, Wang Q, et al. Ubiquitin-like modifier activating enzyme 2 promotes cell migration and invasion through Wnt/beta-catenin signaling in gastric cancer. World J Gastroenterol. 2018;24(42):4773–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Cheng H, Sun X, Li J, He P, Liu W, Meng X. Knockdown of Uba2 inhibits colorectal cancer cell invasion and migration through downregulation of the Wnt/beta-catenin signaling pathway. J Cell Biochem. 2018;119(8):6914–25.

    Article  CAS  PubMed  Google Scholar 

  54. Tsou WL, Burr AA, Ouyang M, Blount JR, Scaglione KM, Todi SV. Ubiquitination regulates the neuroprotective function of the deubiquitinase ataxin-3 in vivo. J Biol Chem. 2013;288(48):34460–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references


Not applicable.


This research was supported by grants of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant: HI16C1559 and H16C-1090-010016).

Author information

Authors and Affiliations



KK and MP contributed to the experiments and data analysis and manuscript writing. EB performed the experiment. VD, JP, and HL contributed to the proteomic data analysis. HL contributed conception and design, manuscript writing, and final approval of the manuscript and supported financially. The authors read and approved the final manuscript.

Corresponding author

Correspondence to Helen Lew.

Ethics declarations

Ethics approval and consent to participate

Human placenta stem cells were obtained from CHA General Hospital, Seoul, Republic of Korea. The sample collection and use for research purposes were approved by the Institutional Review Board of the hospital. All participants provided written informed consent prior to sample collection.

Consent for publication

Not applicable.

Competing interests

The authors declare no conflicts of interest regarding the publication of this paper.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Koh, K., Park, M., Bae, E.S. et al. UBA2 activates Wnt/β-catenin signaling pathway during protection of R28 retinal precursor cells from hypoxia by extracellular vesicles derived from placental mesenchymal stem cells. Stem Cell Res Ther 11, 428 (2020).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: